April 2026 Top of Mind

Oklahoma QHP providers: Additional demographic updates required

All Oklahoma providers and facilities participating in Qualified Health Plans (QHPs) are required to update demographics in two locations: the Payer Provider Directory and the statewide QHP Directory.

The QHP Directory and requirements are distinct from, and in addition to the contractual requirements that Optum Behavioral Health Network providers review, update and attest to the accuracy of their demographic data at least every 90 days.

Action required: Every 60 days, log in to the QHP Directory to review your demographic data and update as needed for accuracy.

Why you’re being asked to do this

Making updates to the centralized, state-wide QHP Directory is required as part of a joint pilot between the Oklahoma Insurance Department (OID) and the U.S. Centers for Medicare & Medicaid Services (CMS).

The goal of these updates is to improve access to care, increase data accuracy, ease provider and payer administrative burden and costs, make data exchange easier and improve the overall patient-provider experience.

Qualified Health Plan Directory Resources

• QHP Directory requirements: Oklahoma Statute Title 36, Section 6971 and OID Bulletin No. 13 2023
• QHP Directory Fact Sheet
• QHP Directory Frequently Asked Questions

Questions?

Please email  QHPDirectoryPilot@cms.hhs.gov with any further questions.